Liver

Question 1

De Ritis ration =

Answer 1

AST/ALT normal 1:1

Question 2

De Ritis ration > 1

Answer 2

Alcohol induced hep, cirrhosis, cancer of liver, disorders off other organs(MI, muscle injury)

Question 3

De Ritis ration < 1

Answer 3

Viral hep, hemochrombtosis, autoimmune hep

Question 4

Ammonia test :

Answer 4

blood is put into a heparinized tube and packed in ice for transport to the laboratory. The specimen is stable only for about 20 minutes.

Question 5

In mild liver disease, PT and aPTT

Answer 5

PT is prolonged but the aPTT is normal

Question 6

Macroamylasemia – in vivo artifact

Answer 6

1% of randomly selected patients with no specific symptoms or disease states may have elevated amylase results

Question 7

Glycated albumin reflects the mean glucose concentration in blood over period of ?

Answer 7

17-21 days

More specific and sensitive than Fructosamine

Question 8

Diagnosis of diabetes-ADA 2018

Answer 8

H A1C > 6.5% (48 mmol/mol)

Question 9

A1C testing (times per year)

Answer 9

At least 2 times in patients who are meeting goals and

4 times in patients whose therapy has changed or not meeting glycemic goals

Question 10

Glycated Hb ?

Answer 10

2-3 month

Question 11

Falsely elevated glucose level in ?

Answer 11

Anemia

Question 12

Falsely lowered glucose level in

Answer 12

Polycythemia

Question 13

Plasma glucose concentration is ____ higher than whole blood glucose concentration

Answer 13

11%

Question 14

lipase ≥5× upper reference limit

Answer 14

Pancreatitis highly likely

Question 15

Lipase : amylase ratio >3 (especially >5)

Answer 15

Alcoholic rather than non alcoholic pancreatitis

Question 16

Macroamylase

Answer 16

Complex of amylase (usually S-AMY) with IgA, IgG, or other high molecular weight plasma proteins that cannot be filtered through the glomerulus due to its large size and is thus retained in plasma